CRITICAL THINKING 1
Azusa Pacific University
BRNS 271 Theories and Concepts in Professional Nursing
Professor Catherine Mc Phee
October 12, 2011
CRITICAL THINKING 2
According to Kearney-Nunnery (2008), “critical thinking is viewed as engaging in purposeful cognitive activity directed toward establishing a belief or map of action” (p. 159). Critical thinking requires that we use a systematic and logical process to address the challenges we face during patient care delivery. Critical thinking requires us to continually question our beliefs. Critical thinking necessitates that we take the ...view middle of the document...
Vital signs were normal except blood pressure was slightly elevated. Considering patient history, I immediately checked blood sugar. I also considered the fact that hypoglycemia can mimic signs and symptoms of stroke. Blood
CRITICAL THINKING 3
sugar was 82 so hypoglycemia was ruled out. Rapid response team arrived and code stroke was initiated. Patient was then taken for a STAT CT of the brain and was transferred to intensive care unit when she became unresponsive. As part of our team huddle, I was told that patient CT brain confirmed stroke. With quick assessment and using critical thinking, I was able to analyzed the signs and symptoms presented by patient. Also, it’s essential that we consider/rule-out all the possibilities before we come up with definite conclusion.
I believe that critical thinking skills is developed through experience. Somehow, this particular experience will remain unforgettable considering I just graduated from nursing school. I once took care of a 62-year-old male patient with complained of chest pain direct admitted from a physician’s office. Patient has a history of hypertension, end-stage renal disease and on hemodialysis, arthritis, and anemia. Cardiologist was on the case and ordered cardiac work-up including troponin x 3 every 8 hours. The first two troponin results were positive. Based on his history, elevated troponin is common to end stage renal patient. With that in mind, I did not inform the cardiologist. The next day I came back, patient was already transferred to coronary care unit with increasing chest pain and EKG shows ST elevation myocardial infarction (STEMI). The patient...